Reports

• Kentucky Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries

  

• CGS Administrators, LLC, Overstated Its CIGNA Pension Plan Medicare Segment Pension Assets and Understated Medicares Share of Excess Pension Liabilities

  

• CGS Administrators, LLC, Understated Its CIGNA Pension Plan for Certain Former Employees Medicare Segment Pension Assets and Understated Medicares Share of Excess Pension Assets

  

• CGS Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs

  

• CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Administrative Contract Postretirement Benefit Costs

  

• CGS Administrators, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs

  

• CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming

  

• Medicare Compliance Review of Mount Sinai Hospital for 2012 and 2013

  

• Illinois Made Correct Medicaid Claim Adjustments

  

• Medicare Compliance Review of the University of Arkansas for Medical Sciences Medical Center for 2013 and 2014

  

• California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers

  

• Florida Did Not Suspend Medicaid Payments to Some Providers That Had Credible Fraud Allegation Cases in Accordance With the Social Security Act

  

• Ohios and Michigans Sales and Use Taxes on Medicaid Managed Care Organization Services Do Not Meet Broad-Based Requirement

  

• New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements

  

• Ohio Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin

  

• Texas Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned More Than One Medicaid Identification Number

  

• Wisconsin Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs

  

• Medicare Compliance Review of Jackson-Madison County General Hospital for Claims Paid From June 1, 2013, Through May 31, 2015

  

• Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes

  

• Mississippi Claimed Millions in Unallowable School-Based Medicaid Administrative Costs